Individual
MS. GRACE C MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
41 N MAIN ST, CARBONDALE, PA 18407-2357
(570) 961-3361
(570) 961-3364
Mailing address
1312 MAIN ST, BROWNDALE, PA 18421-1245
(570) 960-1276
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW023594
PA
Other
Enumeration date
10/21/2020
Last updated
08/21/2023
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